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NPI Code Detail

MEDICARE: CHELSEA JOHNSON PA-C

MEDICARE: CHELSEA JOHNSON PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant0010-11218NC

General Provider Information

NPI Number : 1770164105
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA JOHNSON PA-C
Provider Business Mailing Address
First Line : 2675 WINKLER AVE STE 200
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-9328
Country : US
Telephone Number : 877-856-3774
Fax Number : 239-599-2612
Provider Business Practice Location Address
First Line : 4309 MEDICAL PARK DR STE 200
Second Line :
City : DURHAM
State : NC
Zip : 27704-2389
Country : US
Telephone Number : 919-471-4484
Fax Number : 919-477-6131
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2021
Last Update Date : 03/03/2026

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Directions to “ CHELSEA JOHNSON PA-C” Practice Location

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